J Korean Soc Plast Reconstr Surg.  2007 May;34(3):365-370.

Clinical Epidemiologic Study of Facial Bone Fractures in Daegu

• Kwon HJ
• Han J
• Kim JH
• Jung HY
• Kim JY
• Yoon SH
• Song CH
• Ryu MH
• Kim YH
• Seo MS

Abstract

PURPOSE: There are many reports about facial bone fractures, but limited to retrospective data of a single hospital. Etiology and severity of the facial bone fracture have been changed and treatment method and materials have been advanced. In order to reflect those changes and provide up-to-date data of the facial bone fractures in Daegu, we gathered the data and analyzed the epidemiologic study.
METHODS
The medical records of 1058 fractures in 895 patients were gathered from 5 general hospitals in Daegu during last year and these data were analyzed by following parameters: age, sex, place of residence, occupation, cause of injury, time of injury, location of fracture, length of in-hospital stay, time of operation, treatment method, associated injury, complication. Statistical analysis was performed using the Chi-square test.
RESULTS
Most commonly involved age group was 20s(26%) and the sex ratio was 3.4:1(male predominance). Fractures were occurred more in unban and white-color workers. Among variable etiology of injury, traffic accident was the most common cause. Time of injury was heighest at 6 to 7 P.M., on Sunday, in July. Locations of fractures were following sequence: nasal, zygoma, mandible, orbit, maxilla. Mean length of in- hospital stay and time of operation after injury were 6.3 and 3.2 days, respectively. In treatment methods, operative methods were dominant than conservative management and general anesthesia were favored than local anesthesia. Associated injuries were noticed in 188 cases(21.2%) and complications were in 94 cases(8.9%) and among them, ocular problem were common.
CONCLUSION
Compared to previous studies, mean age of occurrence was lowered and the etiologies showed age-specific pattern and reflected the change of lifestyle. In young age groups, sports injury, violence were more dominant and the other hand, traffic accident and fall were dominant in older groups.

Keyword

Facial injuries; Maxillofacial injuries

MeSH Terms

Accidents, Traffic
Anesthesia, General
Anesthesia, Local
Athletic Injuries
Daegu*
Epidemiologic Studies*
Facial Bones*
Facial Injuries
Hand
Hospitals, General
Humans
Length of Stay
Life Style
Mandible
Maxilla
Maxillofacial Injuries
Medical Records
Occupations
Orbit
Retrospective Studies
Sex Ratio
Violence
Zygoma